Out of Hospital Cardiac Arrest
Management of outside hospital cardiac arrests (OHCA) is critically dependent on initiating CPR and providing external defibrillation in a timely manner.- Edward Chu MD
image by: GerritsenBeach.Net
HWN Recommends
Out of hospital cardiac arrest: Past, present, and future
The interval from collapse to initial shock is a strong predictor of survival. Thus, the basic but formidable challenge is to deliver a relatively scarce resource – defibrillation – to the patient more quickly. The challenge is that OHCA is an unexpected event, making timely access to defibrillation difficult. Consequently, first responder AED, law enforcement AED, and public access defibrillation programs have incrementally improved survival by shortening the interval from collapse-to-defibrillation.
And yet there is a remarkable opportunity to achieve earlier defibrillation as the majority of shockable OHCA receives initial defibrillation more than 8 min after collapse.
Resources
The Conversation That Can Change the Course of a Cardiac Arrest
Telephone CPR saved my father-in-law’s life. Why don’t all 911 services provide that?
Use of public defibrillators linked to out-of-hospital cardiac arrest survival
The potential of simple interventions delivered in the first minutes following collapse – bystander cardiopulmonary resuscitation and defibrillation – to improve survival is promising, but while ‘public access defibrillators’ (PADs) are increasingly available, they are used in only a minority of cases.
A Paradigm Shift in the Management of Outside Hospital Cardiac Arrest
Management of outside hospital cardiac arrests (OHCA) is critically dependent on initiating CPR and providing external defibrillation in a timely manner. Despite numerous attempts to improve emergency response systems, including the strategic deployment of AEDs in public places, OHCA outcomes have remained dismal...
Out of Hospital Cardiac Arrest and Bystander CPR during the Covid-19 Pandemic: An Early Review
Since the outbreak of the COVID-19 pandemic, the incidence of OHCA has increased, particularly in severely affected areas, with a decreased proportion of shockable rhythms, less ROSC, and lower survival. Direct effects of the virus account of some but not all of the increase.
Cardiac Survival Rates Around 6 Percent for Those Occurring Outside of a Hospital, Says IOM Report
Although evidence indicates that bystander CPR and AED use can significantly improve survival and outcomes from cardiac arrest, each year less than 3 percent of the U.S. population receives CPR training, leaving many bystanders unprepared to respond to cardiac arrest. Furthermore, EMS systems vary in capacities and resources to respond to complex medical needs, such as cardiac arrests.
Chain of Survival after Out-of-Hospital Cardiac Arrest
Even after spontaneous circulation is restored, most patients die within 2 days (Neumar et al. 2008). Post-cardiac arrest syndrome is a severe medical condition caused by prolonged complete whole-body ischaemia and reperfusion; thus the management of patients with post-cardiac arrest syndrome is challenging.
Could Drones Help Save People In Cardiac Arrest?
Drones could soon be dropping off packages at customers' doors. But researchers in Sweden have drones in mind for a different, potentially lifesaving delivery: automated external defibrillators.
CPR Survival Rates Can Differ Greatly by City
If you have a stroke, your odds of survival are similar whether you are in Boston or Boise. But not so if you fall victim to cardiac arrest.
In the Pipeline: Head Up CPR in OHCA?
Head up (HUP) CPR is an emerging concept. The theory behind HUP is it allows for venous blood to drain from the brain to the heart thereby decreasing intracranial pressure and lowering the arterial/venous pressure waves which concuss the brain with each compression.
Increasing CPR Training to Save Lives
Fear of making a mistake should not be an impediment — Good Samaritan laws in every state and the federal Cardiac Arrest Survival Act help to minimize a lay rescuer’s liability. The alternative is standing by helplessly and watching someone die while you await the arrival of emergency medical personnel.
IV or IO Epi in OHCA?
This study should not change your practice of IV vs IO access in OHCA. Future randomized trials of access are needed to clarify this situation. If you are using IO access in cardiac arrest you want to go as proximal to the central circulation as possible, which is most commonly the humeral IO.
Out-of-Hospital Cardiac Arrest Response and Outcomes During the COVID-19 Pandemic
The community response to OHCA was altered from March to May 2020, with less bystander CPR, delays in EMS response time, and reduced survival from OHCA. These results highlight the pandemic’s indirect negative impact on OHCA, even in communities with relatively low incidence of COVID-19 infection, and point to potential opportunities for countering the impact.
Outcome of bystander cardiopulmonary resuscitation after out-of-hospital cardiac arrest in Beijing
Survival and neurological outcome of patients who underwent bystander CPR was better than those who underwent nonbystander CPR in Beijing. However, the rate of bystander CPR was low.
The Approach to Out-of-Hospital Cardiac Arrest: The Role of Automated External Defibrillators
Despite advances in cardiac resuscitation, there has been little improvement on the rate of survival from OHCA in the last 30 years.
The global survival rate among adult out-of-hospital cardiac arrest patients who received cardiopulmonary resuscitation: a systematic review and meta-analysis
The global survival rate of OHCA patients who received CPR has increased in the past 40 years. A higher survival rate post-OHCA is more likely among patients who receive bystander CPR and who live in Western countries.
Why Cardiac Arrest Is More Likely To Kill Women Than Men, And What We're Going To Do About It
So, how do we address this laundry list of misconceptions that are literally killing women? The same way we popularized the resuscitation techniques that remarkably double or triple cardiac arrest victims’ chances of survival: through education.
Out of hospital cardiac arrest: Past, present, and future
The interval from collapse to initial shock is a strong predictor of survival. Thus, the basic but formidable challenge is to deliver a relatively scarce resource – defibrillation – to the patient more quickly. The challenge is that OHCA is an unexpected event, making timely access to defibrillation difficult. Consequently, first responder AED, law enforcement AED, and public access defibrillation programs have incrementally improved survival by shortening the interval from collapse-to-defibrillation.
CARES
CARES can make a difference. CARES helps communities measure performance and identify how to improve cardiac arrest survival rates. By joining CARES, communities gain more than just access to information that will help them improve performance and save lives.
Introducing Stitches!
Your Path to Meaningful Connections in the World of Health and Medicine
Connect, Collaborate, and Engage!
Coming Soon - Stitches, the innovative chat app from the creators of HWN. Join meaningful conversations on health and medical topics. Share text, images, and videos seamlessly. Connect directly within HWN's topic pages and articles.